Brenda Lee Carpenter

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

LC001618584 Issued in MO

Practice address

18724 N Locust Grove Rd
Sturgeon, MO 65284-9129

Phone

(573) 999-9423

Fax

(573) 387-4325

NPI assigned

Jul 26, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1497309595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18724 N LOCUST GROVE RD",
            "city": "STURGEON",
            "state": "MO",
            "postal_code": "652849129",
            "telephone_number": "573-999-9423",
            "fax_number": "573-387-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18724 N LOCUST GROVE RD",
            "city": "STURGEON",
            "state": "MO",
            "postal_code": "652849129",
            "telephone_number": "573-999-9423",
            "fax_number": "573-387-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "MO",
            "license": "LC001618584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Companion in Sturgeon, MO
• Providers in Sturgeon, MO by specialty
• Adult Companion in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.